HomeMy WebLinkAbout134 NW Airoso Blvd - Permit Application - Re-RoofAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/25/2021 Permit Number:
IM
v Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE -ROOF �.
PROPOSED IMPROVEMENT LOCATION:134 NW Airoso Blvd, Port St. Lucie, FL 34983
Address: 134 NW Airoso Blvd, Port St. Lucie, FL 34983
Property Tax ID #: 3419-555-0009-000-3 Lot No.
Site Plan Name: Block No.
Project Name: PEREZ, JORGE
DETAILED DESCRIPTION OF WORK:
RE -ROOF SHINGLE TO SHINGLE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _
Electric _ Plumbing _ Sprinklers —Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ OW G 70 000 Utilities: —Sewer
Wi dows/Doors _ Pond
_
-7 Roof 5/12 Pitch
Septic
Building Height: 1 story
OWNERAESSEE:
CONTRACTOR:
Name Jorge Perez & Amy Perez
Name: KOH SCOTT KNOX
Add ress:134 NW AlROSO BLVD
Company: KNOX SERVICES
City: Port St, Lucie State: _
Zip Code: 34983 Fax:
Phone No. 305 333 3308
Address: 21301 S TAMIAMI TRL, SUITE 320, PMB 132
City: ESTERO State. FL
Zip Code: 33928 Fax:
Phone No239-470-6771
E-Mail: jorgep04l5@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail enoble@Knoxroofs.com
State or County License CCC1331450
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
f SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V` Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: VNot Applicable
Name:_
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
5i ature of Owner Lessee/Contractor as Agent for Owner
Signat re of Contractor/ icense Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF I . r- r
COUNTY OF L,C— ,
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Sw n to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
this day of 0:'C, 2020 by
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ame of person mak g statement.
Na a of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificatio
Type of identification
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